Individual
KYLA NIEWINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
415 STATE ROUTE 34 STE 210, COLTS NECK, NJ 07722-2523
(302) 249-0143
Mailing address
60 SEQUOIA DR, OLD BRIDGE, NJ 08857-2942
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00950800
NJ
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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